Cardiology PGY5/ University of Tennessee, Nashville. tweets and opinions are mine.

Joined June 2014
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Pinned Tweet
Feeling deeply humbled to receive the Ascension Saint Thomas Guardian Angel Award, a recognition that comes from the kindness of our patients. Grateful to care for them alongside incredible team, and especially thankful to my clinic mentor Dr. Keswani! @AmitKeswaniMD @timir_paul
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The biggest challenge in medical AI is no longer building models; it’s ensuring they are unbiased, externally validated, and effective in real-world practice. My latest article in @AmJCardio examines these challenges and outlines a path toward responsible AI implementation
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Neel Patel, MD retweeted
Cheers, chills, and a standing ovation when RASolute 302 showed unprecedented survival on daraxonrasib for patients with progressive pancreatic cancer Seldom do you sense you’re witnessing a historic moment in cancer care but this feels like ras targeting has arrived #ASCO26
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Neel Patel, MD retweeted
One of the most amazing things I’ve ever seen: a standing ovation for the full Daraxonrasib results I feel inspired and energised, to put it mildly — we have a targeted therapy for pancreatic cancer now, and nothing is undruggable anymore
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Neel Patel, MD retweeted
This viral thread from @bschermd is a great read. Veins and arteries see the exact same LDL/ApoB, yet plaque forms almost exclusively in arteries — and a pristine vein grafted into arterial flow rapidly develops atherosclerosis. That points strongly to hemodynamic stress and endothelial injury as the primary trigger (Response to Injury) over a pure Response to Retention model. Our Keto-CTA data in a metabolically healthy cohort with a wide spread of LDL/ApoB (going from under 100 to over 500) show no association with either the presentation or progression of plaque. Which is why we've needed to do this exact research for so long. This central illustration is from our match analysis in JACC Advances (Budoff et al., 2024), where we compared 80 metabolically healthy ketogenic hyper-responders (mean LDL-C 272 mg/dL, HDL-C 90, TG 64, after 4.7 years on keto) to 80 tightly matched controls from the Miami Heart cohort (mean LDL-C 123 mg/dL). Despite the ~149 mg/dL difference in LDL-C, there was no significant difference in coronary plaque burden by CCTA total plaque score, CAC score, or other measures. And crucially, there was no correlation between LDL-C levels and plaque burden in either group. (Full paper: jacc.org/doi/10.1016/j.jacad…)
Your veins and arteries carry the same blood. Same LDL. Same ApoB. Same everything. Yet veins almost never get plaque. Arteries constantly do. Maybe you've seen the recent discussions about this. It's an interesting question that provides clues in cardiovascular science, and could challenge how we think about LDL and ApoB. 🧵
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Thank you Suman! It was great catching up! @sumanbiswasmd @timir_paul @ACCinTouch #ACC26
#ACC26 @JACCJournals @ACCinTouch @timir_paul @FITsOnTheGo @NPatelMD Great presentation by Dr. Patel on ACC Heart Tank (Shark Tank)! Great to catch up with known colleagues.
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So Proud of our fellow @NPatelMD at @UTHSCNashCVD who competed as top 3 at #ACC2026 HEART TANK competition
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Grateful to contribute alongside such a talented group of social media ambassadors. #ACC26 was all about ideas, impact, and momentum 🔥❤️@ACCinTouch @JACCJournals @ACCmediacenter @Cardiology
Big shoutout to our amazing Social Media Ambassadors! 🎉 Your energy, expertise, and dedication helped make #ACC26 truly unforgettable. Thank you for sparking meaningful conversations, sharing your insights, and keeping the momentum alive 👏👏👏 @ACCinTouch
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#ACC26 With our wonderful program director and mentor Dr Paul! @timir_paul @ACCinTouch
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ACC26 by day, New Orleans by night! #ACC26 @ACCinTouch #NOLA
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ACC Day 1 in full swing! #ACC26 @ACCinTouch @ACCmediacenter
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Kicking off ACC.26 in New Orleans! Excited for the sessions, great conversations, competing in the Heart Tank and exploring NOLA over the weekend! #ACC26 @ACCinTouch @ACCmediacenter
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